,ATI Leadership & Management Assessment - RN Exam Questions
And Answers 2026/2027
SECTION 1: DELEGATION & SCOPE OF PRACTICE (20 Questions)
**1.** A charge nurse is delegating tasks to an LPN and an AP (unlicensed
assistive personnel). Which task should the charge nurse assign to the LPN?
A) Obtain a clean-catch urine specimen from a client with a UTI
B) Reinforce teaching about insulin self-administration to a client with
diabetes
C) Ambulate a client who had a stroke 2 days ago
D) Measure intake and output for a client in stable condition
**Correct Answer:** B) Reinforce teaching about insulin self-administration to
a client with diabetes
**Rationale:** Reinforcing teaching is within the LPN's scope of practice;
initial teaching is an RN responsibility. Obtaining a clean-catch urine
specimen, ambulating a stable client, and measuring I&O can be delegated
to AP.
**2.** Which task must be performed by the RN rather than delegated?
A) Obtaining a client's routine urinalysis sample
B) Completing the client's initial admission assessment
C) Assisting a client who requires help ambulating to the bathroom
D) Documenting routine intake and output measurements
**Correct Answer:** B) Completing the client's initial admission assessment
,**Rationale:** The RN must complete the initial admission assessment,
which involves critical thinking and nursing judgment. Routine tasks like
obtaining samples, assisting with ambulation, and documenting I&O can be
delegated.
**3.** A nurse is delegating tasks to an unlicensed assistive personnel (UAP).
Which of the following is an appropriate delegation?
A) Assessing a patient's lung sounds
B) Administering oral medications
C) Providing basic post-mortem care to a client who recently passed away
D) Evaluating a client's response to an anti-hypertensive medication
**Correct Answer:** C) Providing basic post-mortem care to a client who
recently passed away
**Rationale:** AP can perform non-invasive, routine tasks such as basic
hygiene and post-mortem care. Assessment, medication administration, and
evaluation require the clinical judgment of an RN.
**4.** A charge nurse is making assignments for the shift. Which client
should be assigned to the most experienced RN?
A) A client with diabetes requiring a routine fingerstick blood glucose check
B) A client with a new tracheostomy requiring initial teaching
C) A client with stable heart failure receiving daily oral furosemide
D) A client with an indwelling urinary catheter requiring routine care
, **Correct Answer:** B) A client with a new tracheostomy requiring initial
teaching
**Rationale:** Client education, especially initial teaching, requires advanced
nursing knowledge and should be assigned to the most experienced RN.
Routine tasks can be assigned to less experienced staff or delegated to AP
with appropriate supervision.
**5.** A nurse is delegating tasks to an AP. Which of the following is an
appropriate delegation?
A) Assessing a client's postoperative incision
B) Administering a PRN pain medication
C) Providing a bed bath to a stable client
D) Evaluating the effectiveness of client teaching
**Correct Answer:** C) Providing a bed bath to a stable client
**Rationale:** AP can perform routine hygiene and activities of daily living for
stable clients. Assessment, medication administration, and evaluation
require nursing judgment and cannot be delegated.
**6.** A charge nurse is delegating tasks to an LPN. Which task is within the
LPN's scope of practice?
A) Performing the initial admission assessment
B) Administering IV push medications
C) Changing a sterile dressing for a stable postoperative client
D) Creating the client's plan of care
And Answers 2026/2027
SECTION 1: DELEGATION & SCOPE OF PRACTICE (20 Questions)
**1.** A charge nurse is delegating tasks to an LPN and an AP (unlicensed
assistive personnel). Which task should the charge nurse assign to the LPN?
A) Obtain a clean-catch urine specimen from a client with a UTI
B) Reinforce teaching about insulin self-administration to a client with
diabetes
C) Ambulate a client who had a stroke 2 days ago
D) Measure intake and output for a client in stable condition
**Correct Answer:** B) Reinforce teaching about insulin self-administration to
a client with diabetes
**Rationale:** Reinforcing teaching is within the LPN's scope of practice;
initial teaching is an RN responsibility. Obtaining a clean-catch urine
specimen, ambulating a stable client, and measuring I&O can be delegated
to AP.
**2.** Which task must be performed by the RN rather than delegated?
A) Obtaining a client's routine urinalysis sample
B) Completing the client's initial admission assessment
C) Assisting a client who requires help ambulating to the bathroom
D) Documenting routine intake and output measurements
**Correct Answer:** B) Completing the client's initial admission assessment
,**Rationale:** The RN must complete the initial admission assessment,
which involves critical thinking and nursing judgment. Routine tasks like
obtaining samples, assisting with ambulation, and documenting I&O can be
delegated.
**3.** A nurse is delegating tasks to an unlicensed assistive personnel (UAP).
Which of the following is an appropriate delegation?
A) Assessing a patient's lung sounds
B) Administering oral medications
C) Providing basic post-mortem care to a client who recently passed away
D) Evaluating a client's response to an anti-hypertensive medication
**Correct Answer:** C) Providing basic post-mortem care to a client who
recently passed away
**Rationale:** AP can perform non-invasive, routine tasks such as basic
hygiene and post-mortem care. Assessment, medication administration, and
evaluation require the clinical judgment of an RN.
**4.** A charge nurse is making assignments for the shift. Which client
should be assigned to the most experienced RN?
A) A client with diabetes requiring a routine fingerstick blood glucose check
B) A client with a new tracheostomy requiring initial teaching
C) A client with stable heart failure receiving daily oral furosemide
D) A client with an indwelling urinary catheter requiring routine care
, **Correct Answer:** B) A client with a new tracheostomy requiring initial
teaching
**Rationale:** Client education, especially initial teaching, requires advanced
nursing knowledge and should be assigned to the most experienced RN.
Routine tasks can be assigned to less experienced staff or delegated to AP
with appropriate supervision.
**5.** A nurse is delegating tasks to an AP. Which of the following is an
appropriate delegation?
A) Assessing a client's postoperative incision
B) Administering a PRN pain medication
C) Providing a bed bath to a stable client
D) Evaluating the effectiveness of client teaching
**Correct Answer:** C) Providing a bed bath to a stable client
**Rationale:** AP can perform routine hygiene and activities of daily living for
stable clients. Assessment, medication administration, and evaluation
require nursing judgment and cannot be delegated.
**6.** A charge nurse is delegating tasks to an LPN. Which task is within the
LPN's scope of practice?
A) Performing the initial admission assessment
B) Administering IV push medications
C) Changing a sterile dressing for a stable postoperative client
D) Creating the client's plan of care
